Daniel Fisher, MD, PhD, The National Empowerment Center From Maintenance to Recovery: by Daniel B. Fisher,MD,PhD, Executive Director, National.

Daniel Fisher, MD, PhD, The National Empowerment Center www.power2u.org

From MaintenanceFrom Maintenanceto Recovery:to Recovery:

byDaniel B. Fisher,MD,PhD, Executive Director,

National Empowerment Ct. 599 Canal St. Lawrence, MA 01840www.power2u.org 800-POWER2U

How Consumers are How Consumers are Transforming the Mental Transforming the Mental

Health SystemHealth System


Cycle of Healing and Development(Empowerment Model of Recovery)

Loss/Trauma/

Autonomy need

Emotional Balanced/

Distress Connected/

Developed

Healing/Developing


Cycle of TransformationCycle of Transformation(Empowerment Model of Recovery(Empowerment Model of Recovery

Sever Emotional Distress(SED)

Transformation of Self

Emotional Distress

Healing/Developing

Balanced/Connected/Developed

Loss/TraumaAutonomy Need



Recovery PrinciplesPeople need to believe they will recover in order to recover.Consumer’s Initial BeliefsI have no hope, I will never recover.Peer Coach’s ResponseYou can and will recover like I and many others.Consumer’s New Belief’sI have confidence I can and will recover.

Step One…Step One…


Step Two…Step Two…Recovery PrinciplesPeople need people to believe in them, to help them believe in themselves.Consumer’s Initial BeliefsI don’t believe in myself and no one else believes in me.Peer Coaches ResponseI believe in you at your deepest level.Consumer’s New BeliefI accept that other people believe in me and now I believe in myself.


Step Step Three…Three…Recovery Principles

Trust is the cornerstone of recovery.Consumer’s Initial BeliefsI can’t trust anyone, including myself.Peer Coach’s ResponseYou can learn to trust me through being trustworthy and this will help you trust yourself.Consumer’s New BeliefI trust you and I now trust myself.


Step Step Four…Four…Recovery Principles

Self Determination.Consumer’s Initial BeliefsI can’t make my own decisions. Others must make my decisions because they know what is best for me.Peer Coach’s ResponseYou can learn to make your own decisions based on your emerging self- knowledge.Consumer’s New BeliefI can make my own decisions because I know myself.


Step Step Five…Five…Recovery Principles

Importance of having and following one’s own dreams.Consumer’s Initial BeliefsI cannot trust my dreams so I should not dare to dream.Peer Coach’s ResponseI believe in your dreams as essential to your growth.Consumer’s New BeliefIt is OK and vital to dream; my dreams are more meaningful than my dopamine


Step Six…Step Six…Recovery PrinciplesConnecting at a human level is essential.Consumer’s Initial BeliefsI am alone even in a crowd because I can only relate superficially; I am unlovable.Peer Coach’s ResponseYou can connect at a deeply human level and people will want to connect with you; you are loveable.Consumer’s New BeliefI feel worthy, capable of connecting at a deep level, and loveable.


Step Seven…Step Seven…Recovery PrinciplesAll my feelings, including my anger, sadness, and fear are valid.Consumer’s Initial BeliefsMy anger and other feelings are symptoms of my madness.Peer Coach’s ResponseYour anger, etc… is understandable and connected to relationships in your life.Consumer’s New BeliefMy anger etc… is a real part of me, teaching me about myself and my relationships.

Daniel Fisher, MD, PhD, The National Empowerment Center www.power2u.orgStep Step

Eight…Eight…Recovery PrinciplesRelating with respect and dignity.Consumer’s Initial BeliefsI am unworthy of being treated or treating myself with respect and dignity.Peer Coach’s ResponseI respect and honor you as an equal human being.Consumer’s New BeliefI deserve to be treated with respect and dignity.


Nine…Nine…Recovery PrinciplesThere is always meaning in what appears to be madness.Consumer’s Initial BeliefsWhen people say I am crazy. My thoughts and words are senseless.Peer Coach’s ResponseI can always find some truth about you and our relationship in your craziest sounding words.Consumer’s New BeliefMy craziest seeming thoughts and words are meaningful and always teach me something important about myself and my relationships.


Ten…Ten…Recovery PrinciplesExpressing one’s own voice.Consumer’s Initial BeliefsMy voice is insignificant and unimportant. No one listens to me so I must rely on everyone else’s voices.Peer Coach’s ResponseYour voice is the sacred spark that never dies; I am very interested in what you, at your deepest level have to say.Consumer’s New BeliefMy voice is important and others will listen.


Implementing Implementing the the

New Freedom New Freedom CommissionCommission


Goal: Mental Health Care isConsumer & Family Driven

Implementing the New Freedom CommissionImplementing the New Freedom Commission


Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family Driven

Recommendation 2.1:Develop an individualized plan of care for every adult with serious mental illness and based on recommendation from consumer issues subcommittee: promote individual recovery through self-determination.


Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family DrivenRecommendation 2.1: Develop an individualized plan of care for every adult with serious mental illness and based on recommendation from consumer issues subcommittee: promote individual recovery through self-determination.

Task 1:Shift to person-centered recovery planning: based on person’s own dreams and collaborative record keeping to build a self-authorized, strengths-based story of person’s life. Requires consumer and staff training and quality assurance. (Michigan)


Recommendation 2.2: Involve consumers fully in orienting the system towards recovery



Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family DrivenRecommendation 2.2: Involve consumers fully in orienting the system towards recovery

Task 1: Consumer leaders will set up National & State Recovery Initiative Consumer Task Forces

a. The work groups will educate and advise the leadership of the the critical organizations on ways to adopt a recovery-based system.


Task 2: Work Groups will collaborate with administrative leaders to develop National and State Recovery Initiative action agendas:

Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family DrivenRecommendation 2.2: Involve consumers fully in orienting the system towards recovery


a. To involve consumers in the planning and evaluation of services at the federal, state and local levels by requiring 25% consumer participation in planning bodies of entities receiving federal funding with provision of recovery training for those consumers and the boards; also the work groups will prioritize the action steps that consumers for a given area most want to accomplish.

Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family DrivenRecommendation 2.2: Involve consumers fully in orienting the system towards recoveryTask 2: Workgroups will develop National & State Recovery Initiative action agenda


b. Develop more consumer-run organizations: States should use at least 10% of their block grant money to develop state-wide consumer organizations and consumer-run social support/supported employment centers, warmlines and crisis respite centers




c.Involve consumers in the training

of all stakeholders in recovery: State should require all provider

organizations receiving federal funding to

•Engage consumers in training their staff in recovery principles,

•Eliminate seclusion/restraint and

• How to facilitate peer support.



Recommendation 2.3:Align federal programs to improve access and accountability


Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family DrivenRecommendation 2.3: Align federal programs to improve access and accountability

Task 1:Shift the funding mechanisms to support increased consumer control and choice (individual recovery budgets setup with Medicaid and other funding sources).


Implementing the New Freedom CommissionImplementing the New Freedom CommissionGoal: Mental Health Care is Consumer & Family DrivenRecommendation 2.3: Align federal programs to improve access and accountability

Task 2:Expand the range of services and supports

•Expand the range of peer-run services

•Develop peer specialists to work as bridges between clinical and peer-run services.

•Peers as professional•Peer mutual support•Expand the use of personal assistance services for consumers.


Daniel B. Fisher, MD, Daniel B. Fisher, MD, PhDPhD

Executive Director,Executive Director,National Empowerment Ct. National Empowerment Ct.

599 Canal St. 599 Canal St. Lawrence, MA 01840Lawrence, MA 01840www.power2u.org www.power2u.org

800-POWER2U800-POWER2U

Daniel Fisher, MD, PhD, The National Empowerment Center From Maintenance to Recovery: by Daniel B. Fisher,MD,PhD, Executive Director, National.

Documents